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Massachusetts rates for HCPCS E2617

Custom Fabricated Wheelchair Back Cushion Any Size Including Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.50 / $673.50 / $673.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.87 / $673.50 / $1,690.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $374.50 / $374.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.00 / $405.00 / $413.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.25 / $405.00 / $937.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.28 / $800.28 / $800.28
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.40 / $458.40 / $593.66
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $374.50 / $374.50